Modified gastric sleeve
The types of bariatric surgeries have evolved and varied to meet the desired goals and results. There are sleeve gastrectomy, gastric bypass and bilateral division operations. There are also many types of sleeve gastrectomy operations, including micro sleeve gastrectomy, enveloping sleeve gastrectomy, bikini sleeve gastrectomy, umbilical sleeve gastrectomy, and modified sleeve gastrectomy.
The choice is made between the different types of bariatric surgeries or the various types of sleeve gastrectomy, according to what is commensurate with the patient’s health condition, his weight, and his daily habits with regard to the types of food and his lifestyle in general. Each type of sleeve gastrectomy has something that distinguishes it from other types, and what it provides in addition to improving the results of sleeve gastrectomy and reducing its potential complications, and among the most important problems or concerns that attack many applicants for obesity operations, or the complications that some patients are exposed to after years of surgery Bariatric surgeries, is the return in weight after a period of bariatric surgeries.
That’s why doctors tended to find out the reasons that could cause weight gain again and come up with a number of ways to help control the return of weight and control the causes leading to it.
So what is modified quantization? And when do we turn to him? What distinguishes it from regular sleeve gastrectomy? What is modified quantization?
It is a type of sleeve gastrectomy similar in its steps to regular sleeve operations, starting with anesthesia and cutting the stomach to reduce its size to approximately 25% of its original size, while removing the part responsible for the secretion of the hormone ghrelin, which is the hormone that causes the feeling of hunger, until we reach the stage of stapling. The remaining part of the equipment with leakage tests, to ensure the quality, efficiency and tightness of the staple line.
Hence, the additional step begins in the modified sleeve gastrectomy, which is adding a silicone ring in the dome of the stomach located in the first third of the stomach towards the esophagus.
What is the use of the silicone ring in modified quantization processes?
* Stretching of the stomach tissues is something that is likely to happen after gastric sleeve operations, because the stomach is a muscle, so with the increase in the amounts of food and the increase in pressure on the stomach tissues, the stomach can gain a larger volume than it was immediately after the operation.
* The silicone ring is non-interacting with stomach tissues, as it is harmless and does not cause any kind of allergic reaction.
* The silicone ring has a diameter larger than the diameter of the stomach after sleeve gastrectomy, and this qualifies it to give an additional space that gives the patient comfort at the time of eating, but it is a specific space so as not to allow the stomach tissues to stretch more than necessary.
* Therefore, the role and importance of the silicone ring lies in controlling and controlling the size of the stomach after sleeve gastrectomy operations by:
– Controlling the amounts of food eaten during meals and the patient’s inability to eat larger amounts than permitted.
Permanent control and maintaining the small size of the stomach and stabilizing it and preventing the expansion of the stomach again.
The silicone ring used in modified sleeve gastrectomy helps increase the feeling of satiety when the stomach dome is filled with food, as pressure is placed on the nerves responsible for this feeling, so they alert and send signals to the brain, so the patient feels full and stops eating.
When do we resort to the modified quantization process?
The modified sleeve gastrectomy using the silicone ring is used either as an alternative or a suitable choice for obese patients to lose weight and reach the ideal weight for them, or as a type of corrective surgery when the weight returns after a period of the first sleeve gastrectomy.
Who are the candidates for modified quantitative surgery?
An obese patient whose body mass index is higher than 40 or more than 35, but suffers severely from obesity-related diseases such as arthritis, bone pain, spine problems, heart disease, high blood pressure, type 2 diabetes, or sleep apnea.
An obese patient who eats many foods that are high in calories and is afraid that he will not adhere to healthy and proper nutrition systems after the regular sleeve gastrectomy, whether in terms of the types or quantities of foods.
Gaining weight a second time after the first sleeve gastrectomy because of not adhering to a healthy lifestyle and not continuing to follow up with a nutritionist.
– The patient’s inability to maintain an ideal weight due to his inability to exercise regularly due to his health condition such as heart disease or bone problems.
Advantages of the modified quantization process:
* Losing excess weight, getting rid of obesity, and reaching the ideal weight in a period of 6 months to a year or a year and a half at most.
* Preserving the ideal weight and not allowing the stomach to expand and increase the amount of food, and therefore the modified sleeve gastrectomy put an end to the fears of weight gain again after gastric sleeve operations.
* Reducing the amount of food eaten in meals as a result of increasing the feeling of rapid satiety when the dome of the stomach is full and alerting the nerves responsible for it.
* Reducing the feeling of hunger by getting rid of the part of the stomach that contains the hormone ghrelin, which is responsible for the feeling of hunger.
* Reducing the feeling of acidity or heartburn and the possibility of any diaphragmatic hernia.
* Getting rid of most diseases associated with obesity such as high blood pressure, cholesterol and spine diseases.
* Adjusting blood sugar levels and helping to get rid of type 2 diabetes for a large number of patients.
The average cost of resections:
The cost and prices of each type of sleeve gastrectomy vary according to the tools used in its different steps. The cost of the modified sleeve gastrectomy process is in addition to the cost of the silicone ring and the cost of its installation.
– Also, the cost and price of the modified sleeve gastrectomy varies according to the hospital in which the procedure will be performed in terms of its equipment, level of hygiene, sterilization, and the service provided by it, and whether it has a quality certificate or not.
Also, the devices used in the operation are modern. For example, Dr. Ahmed Safina, a consultant in bariatric and laparoscopic operations, uses the latest and most advanced smart staplers.
The cost is also determined according to the years of experience of the surgeon, his degree of proficiency in each step of the operation, and his good reputation in the medical community.
The cost of the operation also varies according to the method of the procedure and whether it will be done using traditional or laparoscopic methods.
– Also, the cost of hiring members of the medical team participating in the work of the surgeon from the anesthesiologist, surgeon’s assistants and the nursing team.
The cost of necessary medical examinations and analyzes before the operation, travel and accommodation expenses are also added in the event of moving from one country to another to perform the operation, as Egypt has the most skilled and experienced bariatric and laparoscopic surgeons. Dr. Ahmed Safina, obesity and endoscopic consultant, is one of the most important bariatric surgeons in Egypt and many Patients from Arab countries or European and American countries to perform various obesity surgeries, including sleeve gastrectomy with its various techniques.
The modified sleeve gastrectomy has proven its efficiency and effectiveness in maintaining the ideal weight after sleeve gastrectomy and preventing weight reflux or stomach expansion. However, the first person responsible for choosing the appropriate bariatric surgery for you and your condition is your doctor, so check your choice to reach the best result you dream of achieving from bariatric surgeries.